muscular dystrophy: inheritance pedigree

Pedigree of a family with a history of Duchenne muscular dystrophy, which is carried by females (circles) and affects half of a carrier’s male children (squares). The consultand (III-2) wishes to know her risk of having an affected child. Since her grandmother (I-2) was a known carrier, the chances of her mother (II-4) having been a carrier are 1/5. Her own chances of being a carrier are therefore 1/5 × 1/2 = 1/10, and her chances of passing the syndrome to a male child are 1/10 × 1/2 × 1/2 = 1/40. Molecular testing would establish her status with certainty as either a carrier or a noncarrier, and consequently the chance of her male child having the disease would be either 1/2 or 0.